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APPROVALS DATE COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Lile Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Bonding / Groundino / UFER <br />Translormers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Meter Belease <br />Rough <br />Service Meter <br />FINAL 3ll b J$rL <br />Notes, Remarks, Etc II <br />owNEt aUILDEI DEI"C RATIoN <br />I lrEhy .mrm u.i,.. FEny or tE,lry rhrr I m.r.q{ amn rlr CorrEroF l-ids l:* ror rhc followi{! F.rm (s.L 7().ll t <br />Butim( .dl t\o{6!irn Ad.r Art Cn, or Cru , *hich E1u!.. . Fn ru 6Ntur. d, inpi$E &mlnh or nFr dy <br />{turorc- Fu r, ir3 i*U4., rls rqliB rtE lrplianr ftn ruh Fmi h 6lc a 3i8xn (r.mr thd lE or dE i\ liccn<rl Flrurr <br />b rh. pn,vnnnr of llr C('nlndr'r l-iccnsd Lrw l(lrpr.,9- (nnffiE-.ins *nh s..ri'n 7fix) or Divirion 3 of lh. Bunftr. tnd <br />Phfctri,nr Codcl or rhlr tE or \hc ir crcnfl rh€rfton ind rh. trrn [o, rhe ,llcg.d cr.'rgrirn An, vn,hlion of S(lbn 70:! I 5 by rny <br />qDli.unr ro, ! Icrmn subjd r lh. {'tli.!nr b r civil p.nrhy ol tur nrft rhr. fivc hu ndEd dolhi\ l,:iD) <br />-1. <br />$ o*m or rlE FoFdt, c my crt'hlEr wilh *rg$ r rlEt qrk (n{Enslrion, *ill d.: rli *nl ud tu ridE ir tr, <br />id.r'd.n in ofi.,ld fq qL lsa Tora- AuriEs ud Prorcan 6 Cod. Ttr Coddr, . Lift L*.b.! d rpply lo u o*Er ol <br />rrE Fr.ny qtb hildi d invmB tlfEn .,i *lb &6 q h qrr hmElf or lEBlf or rlnrsh ht rr lEr own.niploF.r, <br />FoviHih'r sh rguffire d dc.d.ndoturd fr, {l lllrlw.rlEtlrnrBdilqmrlida$nrihrcFs <br />nrflrnLrid rh. OqB auiEr wil rrE rlr h,*n orthviry r rEdrlEdd d huild r ntnE d. Fwqry lG i,i,ilFEol <br />I. r\ otrmr ol rh. Jn,r.ny, nn .r.lx\irrly ..nkktnr8 *[ h li..n\.{ .ont.doF ro cnn{ru( lh tn('t d rsa 7t}1,l, B!{ncn <br />mt lh ia\i,nCodc lhc Cotrrru.ntr s l.i.cn\c tiw doc\ nor upplyk) Mowtrcr olprupcnyeho nu'U\ or nupr'rcs rh.r.!n, <br />rn,, sho mntrh fi, io.h lh',..k *irh a Conka.ton \, lr.n\cil Du^utrr k, rhc a, 'nt.u!tr'( LNnc t r ). <br />Der. rrrEr <br />qt tnxrtt,i' t r r]ttlr tsltti tfi <br />Il[grlarUllrli <br />I hr r.hr_ rrl rnr trol.r p.nrlry or Il(rltr'y,trk ,'r rhr i,nIi{ n,!,lrrhnnrh <br />I rmcrcmrl undcr Seri,n <br />Lcr\o Lr\ r,IJ[}iq I:"iffi;* ,'*' lrl""t ','Att <br />'- <br />I hdh {rr will mintoin 0 Ccnifi.{. {f Consnt lo S.lf.lmur. n, work6 mrrrEn\orio.. ri tmidcd tur hy S&rn'n .r7([ of rh. <br />ljtrn (ixt - lbr rh. Ffoim. of rh. worl for *hth rh. ncrhir i\ irikrl <br />\/-l h.* rn wrll Eld.rn won6 rnni{n{hn ,nsrrc. rr rcquiEi I'y S.cii,n l7lx) orrlE lixtr criL, for rlE FlolllIm ol <br />rlE *,it fn *nth rhis Fmir it irqrd My sort6 drnrrnr.rx,tr iNuhE.!rr d F,lry Nmbc. G' <br />.,.", t{rL i r '...1 <br />n,,,., n,.n .-9rlG35-iJ <br />\ l(cnilirhnr irrh.|xno ntrRr rrhcsork for shi.h rhr tkrn r\ isuld. I lhrll mr dnploy lny pcrw,n in rny rn,nkr <br />!' sr' tr(nrr {hrcr r,, rti wrlcii .rmpcn\lrhn hs\ ol( llil,trtrir'. sfld aE(t rhd ir l \krkl l*off {hj.{r h rh. <br />rnrkdi..n!xsri'npN!tri,in\otli(rirtr.l7lnofrhlrhtr(iilc.I{ulLtunhEh.onPly$ihrh!{f.rnion\ <br />WAININC: tiiluE b \r sndr'oqErB,li'. m\h*. r uL*tu1 rn ilEll uhFl .. .npbF b ainin l Ffllit.ndriril 68. op lo oE hudEn tboqd lhlL6 lllm-fiD,. 'n dd i,n ro rlE .o{ ol m.qEm'in. d.tEacr n FDrid.n ltr rlr <br />Srrrn tur6 ol rh. Lrtor C.i., hrdd rn rirmy < 16 .f <br />lJll;NIliD !.1!.LllXrlq]lllttrtLl&uru! <br />I tsEhy rinrm undcr FulrrorFriury rh4 I m lien*l uft,.r Fcirifl urclEI*6 9({nmtuin8 wilh SNtior T(In, orDitirn I <br />ol rrE Buq6r rn PmGsrxB cld.. .rn my hcnE is i" rull nnt rrl clte.-r <br />i-""*."., C t0 <br />D". JIIOil'{0t( <br />,"."-.,",* <br />--(..1 <br />U\J} /UN <br />tD <br />krn r\ Adds <br />- <br />AITU!'I INI.DECIJSAIIIN <br />I ffit .ltm und.r Fnrlry or Friur, oft or rh. rolbwinS &<lDrhnt: <br />Dcmlitun P.tmirs.AstEiror Norifk.ri.n Fcddal R.$l!lionrOnk 40. P.n6) <br />-RcquiEd <br />L.ll.r of I'Ldffl io. <br />-l <br />dily lt, llE f.dfi.l E rhb E !din8 at srot Emd e d tepli.bL ro rhL FF'r <br />rll c.nify rh.r t trw E d tnn .!?lt.rih &d tlrlc rh.r rE .boE inlodiion n @..i I llc b otrply sith rll Cilt <br />({dEN.r rnrl srdr. tjsc E&ruI* h hliHin8 connrucrhtr !d lEn htrnc Elr.rnrdir.r ofihn Ciy rid Couniyh.nro uF'. r <br />ihnt nrnrhrd lft,lxdy ror rniF.li'nnurF{s <br />ApplloEnt or Acent sl8oloR- <br />P.mr*mm(pn ,: flUtt <br />-.it lnq Iuol8 <br />ELECTRICAL.INSPECTOR RECORD <br />ID/SIG. <br />Under Slab / Floor <br />I <br />+ <br />.B &l'( knrhn'.a{rn <br />IOISIBIJ(III'!.IEIITNO.AGENSI <br />I h.(b! rfirm undcr F.rhy .l F.r!ry rhI lh* ir . onr M irn bf,dine .scEy for I h. tElnrmrc ol rh. *c,rl ror lhkh rht Frmit ir <br />nrsdlS$ :{r7.Cir C, <br />l.nJ.r'( N:m